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General NPI Number Information
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NPI Number | 1548494271
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Entity Type | Individual
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Provider Name | ABDUL RAHMAN TARABISHY MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2009
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26506-1200
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Country | US
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Telephone | 304-598-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 911 DUDLEY ST
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City | MORGANTOWN
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State | WV
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Zip | 26505-4604
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Country | US
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Telephone | 313-701-5422
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301088165
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License Number State | MI
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